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    <title>出国人员个人资料表</title>
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<body>
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    <div class="row">
        <div class="page-header">
            <h1>成都信息工程大学<small>教师出国申请平台</small></h1>
        </div>
    </div>
</div>
<div class="modal-body">
    <div class="col-md-4"></div>
    <div class="col-md-4">
        <div class="center-block ">
            <form class="form-horizontal">
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">姓名</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="name">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">拼音名</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入拼音名" name="pinyinName">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">别名</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入别名" name="alias">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">性别</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入性别" name="gender">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">身高</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入身高" name="stature">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">出生日期</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="birthDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">出生地</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" id="" placeholder="省份/自治区" name="birthPlace1">
                    </div>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" id="" placeholder="市/州" name="birthPlace2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">身份证号码</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入身份证号码" name="idNumber">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">婚姻状况</label>
                    <div class="col-sm-8">
                        <label class="radio-inline">
                            <input type="radio" name="maritalStatus" id="inlineRadio1" value="1"> 已婚
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="maritalStatus" id="inlineRadio2" value="0"> 单身(未婚)
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="maritalStatus" id="inlineRadio3" value="2"> 丧偶
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="maritalStatus" id="inlineRadio4" value="3"> 离婚
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="maritalStatus" id="inlineRadio5" value="4"> 分居
                        </label>
                    </div>
                </div>
                <div class="page-header"></div>
                <label for="" class="col-sm-2 control-label">家庭状况</label>
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">配偶姓名</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入配偶姓名" name="spouseName">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">配偶出生日期</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="spouseBirthDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">配偶出生地</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入出生地" name="spouseBirthPlace">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">子女姓名</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入子女姓名" name="childName">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">子女出生日期</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="childBirthDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">子女出生地</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入出生地" name="childBirthPlace">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">本人单位名称</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入本人单位名称" name="companyName">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">职务</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入职务" name="duty">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">居住地编码</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入居住地编码" name="residencePlacePostcode">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">单位详细地址</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="具体到街道门牌号" name="companyAddress">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">电话</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入电话" name="companyTel">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">传真</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入传真" name="companyFax">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">家庭详细地址</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入家庭详细地址" name="homeDetailedAddress">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">电话</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入电话" name="homePhone">
                    </div>
                </div>
                <div class="page-header"></div>
                <label class="col-sm-2 control-label">本人联系方式</label>
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">传呼</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入传呼" name="pagingNumber">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">手机</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入手机" name="cellPhoneNumber">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">电子信箱地址</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入电子信箱地址" name="email">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">预定出发日期</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="scheduledDepartureDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">回国日期</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="returnDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">在外停留天数</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入在外停留天数" name="spentOutsideDay">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">入境次数</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入入境次数" name="entryNumber">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">入境地点</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入入境地点" name="entryPlace">
                    </div>
                </div>
                <div class="page-header"></div>
                列出前前两次的工作单位（除了现在的工作单位外；如一直在现单位工作，请将现单位的情况完整地填入下表）
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">工作单位</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入工作单位" name="oneCompanyName1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">公司地址</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="oneCompanyAddress1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">工作开始时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="startTime1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">工作结束时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="endTime1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">本人职务</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入本人职务" name="myPost1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">单位电话号码</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入单位电话号码" name="unitPhoneNumber1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">上级领导名字</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入上级领导名字" name="superiorLeaderName1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">工作单位</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入工作单位" name="oneCompanyName1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">公司地址</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="oneCompanyAddress2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">工作开始时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="startTime2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">工作结束时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="endTime2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">本人职务</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入本人职务" name="myPost2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">单位电话号码</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入单位电话号码" name="unitPhoneNumber2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">上级领导名字</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入上级领导名字" name="superiorLeaderName2">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="page-header"></div>
                累出所有你现在曾经所属/捐助、工作过的职业协会，社会团体和慈善机构
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label"></label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="1" name="associationName1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label"></label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="2" name="associationName2">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="page-header"></div>
                你是否曾经参军，如答是，则列出服役的国家，军种，军衔，军事特长以及服役日期
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">是否服役</label>
                    <div class="col-sm-8">
                        <label class="radio-inline">
                            <input type="radio" name="joinArmyStatus" id="Radio1" value="0"> 是
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="joinArmyStatus" id="Radio2" value="1"> 否
                        </label>
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">国家</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入服役的国家" name="country1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">军种</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入服役的军种" name="service1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">军衔</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="军衔" name="militaryRank1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">服役开始时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="militarySpecialty1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">服役结束时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="serviceBeginTime1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">国家</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入服役的国家" name="country2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">军种</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入服役的军种" name="service2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">军衔</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="军衔" name="militaryRank2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">服役开始时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="militarySpecialty2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">服役结束时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="serviceBeginTime2">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="page-header"></div>
                是否因公持有护照
                <div class="page-header"></div>
                <div class="form-group">
                    <div class="col-sm-2">
                        <label class="radio-inline">
                            <input type="radio" name="publicPassportStatus" id="1" value="option2">否
                        </label>
                    </div>
                    <div class="col-sm-4">
                        是：
                        <label class="radio-inline">
                            <input type="radio" name="publicPassportStatus" id="chiyou" value="option1"> 因公普通
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="publicPassportStatus" id="" value="option2"> 公务
                        </label>
                    </div>
                    <div class="col-sm-6">
                        <label class="radio-inline">
                            <input type="radio" name="publicPassportStatus" id="" value="option2"> 其他
                        </label>
                        <div class="col-sm-8">
                            <input type="text" class="form-control" id="" placeholder="其他" name="publicPassportOther">
                        </div>
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">发照日期</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="expiryDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">有效期至</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="publicPassportEndTime">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">号码</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="请输入号码" name="publicPassportNumber">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label"></label>
                    <div class="col-sm-8">
                        <label class="radio-inline">
                            <input type="radio" name="passportStatus" id="huzhao1" value="0"> 护照在手
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="passportStatus" id="huzhao2" value="1"> 存外办
                        </label>
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="page-header"></div>
                是否申请过该国签证
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label"></label>
                    <div class="col-sm-8">
                        <label class="radio-inline">
                            <input type="radio" name="hasApplyThisCountryVisa" id="visa1" value="0"> 否
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="hasApplyThisCountryVisa" id="visa2" value="1"> 是
                        </label>
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">何时</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="hasApplyDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">何地</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="place">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">签证类型</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="hasApplyType">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">曾被拒签？</label>
                    <div class="col-sm-3">
                        <label class="radio-inline">
                            <input type="radio" name="hasRefuse" id="a1" value="0"> 否
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="hasRefuse" id="a2" value="1"> 是
                        </label>
                    </div>
                    <label for="" class="col-sm-2 control-label">何时</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="hasRefuseDate">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">是否去过该国？</label>
                    <div class="col-sm-3">
                        <label class="radio-inline">
                            <input type="radio" name="hasGone" id="b1" value="0"> 否
                        </label>
                        <label class="radio-inline">
                            <input type="radio" name="hasGone" id="b2" value="1"> 是
                        </label>
                    </div>
                    <label for="" class="col-sm-2 control-label">何时</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" id="" placeholder="格式：2018-10-10" name="goTime">
                    </div>
                    <label for="" class="col-sm-2 control-label">去的天数</label>
                    <div class="col-sm-4">
                        <input type="text" class="form-control" id="" placeholder="" name="goDays">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">是否在该国有亲戚：</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="关系、签证状况" name="realtionAndVisaStatus">
                    </div>
                </div>
                <div class="page-header"></div>
                <div class="page-header"></div>
                过去十年内你曾去过的所有国家（国家名称、具体时间）
                <div class="page-header"></div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">国家名称</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="countryName1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">具体时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="concreteTime1">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">国家名称</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="countryName2">
                    </div>
                </div>
                <div class="form-group">
                    <label for="" class="col-sm-2 control-label">具体时间</label>
                    <div class="col-sm-8">
                        <input type="text" class="form-control" id="" placeholder="" name="concreteTime2">
                    </div>
                </div>
                <div class="form-group">
                    <div class="col-sm-offset-2 col-sm-10">
                        <button type="submit" class="btn btn-default">保存</button>
                    </div>
                </div>
                <div class="form-group">
                    <div class="col-sm-offset-2 col-sm-10">
                        <button type="submit" class="btn btn-default">提交</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>
</body>
</html>